Crystal W Newman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007928 Issued in IL

Practice address

301 N Neil St Ste 210
Champaign, IL 61820-3166

Phone

(217) 244-4597

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Board of Trustees of the University of Illinois

  • Psychologist
  • Champaign, IL
  • NPI 1104401454
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1225314263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W GREEN ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013945",
            "telephone_number": "732-513-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N NEIL ST STE 210",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203166",
            "telephone_number": "217-244-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CRYSTAL",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Nelson, LMT, BCTMB
• Madelyn Nadine Nelson, BCBA
• Nyia Nelson
• Nemeh Eyecare P.C.
• Lindsey Nicole Newby, PA-C
• John L. Newman, M.D.
• Lolitia Rosanna Newman
• Kenneth E Newsome Jr.
• NGM Counseling, PLLC
• Christopher Nguyen, PT

• Clinical Psychologist in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.